Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $27.54 / $97.72	Facility		$12.59	$27.54	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $31.62	Professional		$9.77	$12.02	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $24.55	Facility		$12.02	$14.13	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $16.98	Professional		$6.61	$8.13	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $15.14	Facility		$7.24	$7.24	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $28.18	Facility		$8.71	$8.71	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $19.05	Professional		$6.76	$8.71	$19.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.79 / $30.20	Facility		$8.71	$14.79	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.72 / $24.55	Professional		$6.92	$10.72	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.22	Professional		$8.91	$10.96	$16.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.80 / $30.90	Professional		$8.71	$13.80	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.12 / $13.18	Facility		$4.79	$9.12	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $15.85	Professional		$5.62	$7.94	$15.85